Improving the Time to Antibiotic Administration in Paediatric Febrile Neutropenia: Implementation of a Clinical Care Pathway in Saudi Arabia

Simple item page
aut.relation.endpage31
aut.relation.issue3en_NZ
aut.relation.startpage23
aut.relation.volume5en_NZ
aut.researcherBlamires, Julie
dc.contributor.authorPole, Men_NZ
dc.contributor.authorBlamires, Jen_NZ
dc.contributor.authorDickinson, Aen_NZ
dc.date.accessioned2022-02-10T03:11:37Z
dc.date.available2022-02-10T03:11:37Z
dc.date.copyright2022-02-09en_NZ
dc.date.issued2022-02-09en_NZ
dc.description.abstractThe aim of this quality improvement practice project was to improve noted delays in the time to antibiotic administration in paediatric febrile neutropenic patients seen at King Faisal Specialist Hospital and Research Centre (KFSH&RC), Saudi Arabia. Larrabee’s 6-step Model for Change of evidence-based practice guided the project. Clinical audit, nursing knowledge survey, comprehensive literature and international clinical guideline review were used to identify and design a clinical care pathway for paediatric febrile neutropenic patients at KFSH&RC. Post-implementation clinical audit showed a reduction in time to antibiotic administration and increased self-efficacy and knowledge among nursing staff in relation to managing the care of febrile neutropenic patients. This reflects similar improvements seen internationally in other centres following the introduction of a clinical pathway. This nursing led practice change was the first of its kind for KFSH&RC. It demonstrated that with support from key stakeholders, Larrabee’s model for evidence- based practice change can be used for introducing a nurse-led clinical care pathway in Saudi Arabia. Highlights •A new clinical care pathway introduced in Saudi Arabia improved time to antibiotic administration in paediatric febrile neutropenic patients. •Implementing a nurse-led clinical care pathway increased nurses’ confidence with managing children with febrile neutropenia and the skills and knowledge related to the accessing and delivering medication via central access devices •With key local stakeholder support evidence-based change frameworks such as that proposed by Larrabee can be used to improve nursing management in Saudi Arabia.
dc.identifier.citationSaudi Journal of Nursing and Health Care, 5(2): 23-31.
dc.identifier.doi10.36348/sjnhc.2022.v05i02.002en_NZ
dc.identifier.urihttps://hdl.handle.net/10292/14900
dc.publisherScholars Middle East Publishers
dc.relation.urihttps://saudijournals.com/media/articles/SJNHC_52_23-31_zrPP5CU.pdfen_NZ
dc.rights© 2022 The Author(s): This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY-NC 4.0) which permits unrestricted use, distribution, and reproduction in any medium for non-commercial use provided the original author and source are credited.
dc.rights.accessrightsOpenAccessen_NZ
dc.subjectNursing; Febrile neutropenia; Clinical care guidelines; Children
dc.titleImproving the Time to Antibiotic Administration in Paediatric Febrile Neutropenia: Implementation of a Clinical Care Pathway in Saudi Arabiaen_NZ
dc.typeJournal article
pubs.elements-id448624
pubs.organisational-data/AUT
pubs.organisational-data/AUT/Faculty of Health & Environmental Science
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences
pubs.organisational-data/AUT/Faculty of Health & Environmental Science/School of Clinical Sciences/Nursing Department
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
SJNHC 5 Print copy.pdf
Size:
646.78 KB
Format:
Adobe Portable Document Format
Description:
Journal article
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
AUT Grant of Licence for Tuwhera Jun 2021.pdf
Size:
360.95 KB
Format:
Adobe Portable Document Format
Description:
Download
Collections
School of Clinical Sciences